Regan Watson Moore, FNP
Individual provider Active NPI Nurse Practitioner · Pontotoc, MS
NPI 1134034762 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1134034762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 908705 (MS)
- Practice address
- 109 Highway 15 S
Pontotoc, MS 38863-2628 - Phone
- (662) 509-9934
- NPI assigned
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Rehabilitation, Inc | Past | Accepting new patients | |
| Lindsay Clinic PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 908705 | MS | Yes |
Addresses
Primary practice location
109 Highway 15 S
Pontotoc, MS 38863-2628
Mailing address
109 Highway 15 S
Pontotoc, MS 38863-2628
Other practice location 1
422A E President Ave
Tupelo, MS 38801-5500
Phone (662) 260-5104
Other providers in Pontotoc, MS
- Mississippi State Department of Health
- Montgomery Drug Co Inc
- Brandy Montgomery
- Stephen Montgomery
- Christa Waldrop Moore
- Elizabeth L Murrah
- Santanna Nesbitt
- North Mississippi Foot Specialists PC
- North Mississippi Medical Clinics Inc
- Britny Bramlett Owens
All providers in Pontotoc, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.